<script type="text/javascript" src="/js/urlcheck.js"></script>
            	<div class="title_bar"><span>Company Detail</span></div>
                <div class="content_top"><div class="cor_lf_t"></div><div class="cor_rt_t"></div></div><!--do not touch this, this is for image-->

                <div class="container">
                	<form action="">
                    <table width="100%" border="0" cellpadding="5" cellspacing="0">
                      <tr>
                        <td width="33%" align="left" valign="top" style="">Company Name:</td>
                        <td width="67%" align="left" valign="top" style="">
                        	<input type="text" name="" value="" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="">Company Logo:</td>
                        <td  align="left" valign="top" style="">
                        	<input type="file" name="datafile" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">Company Description:</td>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">
                        	<textarea name="aa" ROWS="4" style="width:400px;"></textarea>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="2" align="center"><span style="color:#000;font-weight:bold;">BUSINESS INFO</span></td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="">Image 1:</td>
                        <td align="left" valign="top" style="">
                        	<input type="file" name="datafile" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="">Image 2:</td>
                        <td align="left" valign="top" style="">
                        	<input type="file" name="datafile" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">Image 3:</td>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">
                        	<input type="file" name="datafile" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td colspan="2" align="center"><span style="color:#000;font-weight:bold;">WORKSIDE INFO</span></td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="">Image 1:</td>
                        <td align="left" valign="top" style="">
                        	<input type="file" name="datafile" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="">Image 2:</td>
                        <td align="left" valign="top" style="">
                        	<input type="file" name="datafile" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">Image 3:</td>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">
                        	<input type="file" name="datafile" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">Business Address:</td>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">
                        	<textarea name="aa" ROWS="4" style="width:400px;"></textarea>
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">Worksite Address:</td>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">
                        	<textarea name="aa" ROWS="4" style="width:400px;"></textarea>
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">Contact Number 1:</td>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">
                        	<input type="text" name="" value="" style="width:400px;" />
                        </td>
                      </tr>
                       <tr>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">Contact Number 2:</td>
                        <td align="left" valign="top" style="border-bottom:1px dotted #dfdfdf;">
                        	<input type="text" name="" value="" style="width:400px;" />
                        </td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" style="">&nbsp;</td>
                        <td align="left" valign="top" style="">
                            <span style="padding:1px 30px 0 0;float:left;"><input class="button" type="reset" value="CLEAR" /></span>
                            <a href="#" class="button">Upload</a>
                        </td>
                      </tr>
                    </table>
                    </form>
                </div><!--container-->

                <div class="content_btm"><div class="cor_lf_b"></div><div class="cor_rt_b"></div></div><!--do not touch this, this is for image-->

            </div><!--md_content-->

        </div><!--content-->
